Elbow evaluation - OrthoSurgery

[Pages:32]ELBOW EVALUATION

Part Two

Overview

Patient history Observation Palpation

Bony Soft tissue

Active/passive ROM Special tests Neurologic

Sensory Motor DTRs

Circulatory

Patient History

MOI 1. What was the mechanism of injury? Describe or

demonstrate. 2. What were you doing when the injury occurred? Was it

the result of throwing or swinging? 3. Did you receive a direct blow? 4. What was angle of impact? 5. What was the position of arm at impact? 6. Did it involve the neck or shoulder? Is there any pain in

the shoulder or neck? 7. Was the wrist forced beyond its normal ROM? 8. Did you have a violent muscular contraction? 9. Did you hear or feel anything at the time of injury?

Patient History

S & S 10. Describe the symptoms? 11. Describe the pain. 12. Was it gradual or sudden onset? 13. Is it sharp or dull? Localized or diffuse? 14. Is the pain radiating down your arm? 15. Is the pain severe? Does it keep you awake

at night? 16. Demonstrate what causes pain. 17. Do you feel any numbness, tingling, or

burning? 18. Do you feel any weakness? 19. Does the arm feel tight or locked?

Patient History

Previous injury 20.Have you had a previous

injury? 21.Did you see a physician? 22.What was diagnosis? 23.Were you fully recovered? 24.Did you rehab? If so, what

exercises?

Observation

1. Overall position of person 2. Are they using the involved limb? 3. Is the arm in an abnormal position? 4. Is the limb hanging limp? 5. Do the shoulders look symmetrical? 6. Do there appear to be any deformities? 7. Swelling 8. Atrophy 9. Abnormalities

Observation

10. Skin color 11. Skin temperature 12. Any signs of trauma? 13. Carrying angle 14. Spasm

Palpation: Bone

1. Humerus 2. Medial epicondyle 3. Lateral epicondyle 4. Trochlea 5. Capitulum 6. Radius 7. Radial process 8. Radial tuberosity 9. Ulna 10. Olecranon process 11. Olecranon fossa 12. Ulnar styloid 13. Cubital fossa (tunnel) 14. Bony triangle

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